Organization Active NPI

Mountain Podiatry LTD

  • Primary Podiatric Medicine Podiatrist
  • Las Vegas, NV
National Provider Identifier
1952783920
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
9811 Issued in NV
Legal business name
MOUNTAIN PODIATRY LTD
Practice address
653 N Town Center Dr
Suite #118
Las Vegas, NV 89144-0514
Phone
(702) 240-8038
Fax
(702) 363-1079
NPI assigned
Jun 25, 2015
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jodi Sue Politz, DPMNPI 1871696369
Title
President
Phone
(702) 240-8038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 9811 NV Primary

Addresses

Primary practice location

653 N Town Center Dr
Suite #118
Las Vegas, NV 89144-0514

Mailing address

PO Box 370727
Las Vegas, NV 89137-0727
Phone (702) 240-8038

Other identifiers 1

IdentifierTypeStateIssuer
1871696369OtherNVINDIVIDUAL NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930016228 NV DME Supplier - Physician - Podiatry 1557407764 1 other NPI on this enrollment
Practice locations: Las Vegas, NV
O20161228002380 NV Part B Supplier - Clinic/Group Practice 1557407764 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mountain Podiatry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1952783920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370727",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370727",
            "telephone_number": "702-240-8038",
            "fax_number": "702-363-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR",
            "address_2": "SUITE #118",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440514",
            "telephone_number": "702-240-8038",
            "fax_number": "702-363-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN PODIATRY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-25",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "POLITZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-240-8038",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NV",
            "license": "9811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1871696369",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.